| Wajiha Illyas, MD | |
|
2282 5th St, 259 1st St, Winthrop 2, Rm 291, Mineola, NY 11501 | |
| (516) 663-8963 | |
| (516) 663-8964 |
| Full Name | Wajiha Illyas |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 2282 5th St, Mineola, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730613712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 420866010628 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 314406 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Hospital | Port jefferson, NY | Hospital |
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Suffolk Medical Pc | 0244396349 | 164 |
| New York University | 1355232422 | 5027 |
| Entity Name | Cogent Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912941238 PECOS PAC ID: 7315836780 Enrollment ID: O20040312001215 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | Southwest Suffolk Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Wajiha Illyas, MD 2282 5th St, 259 1st St, Winthrop 2, Rm 291, Mineola, NY 11501 Ph: (516) 663-8963 | Wajiha Illyas, MD 2282 5th St, 259 1st St, Winthrop 2, Rm 291, Mineola, NY 11501 Ph: (516) 663-8963 |
Shivanu Dhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 1st St Rm 291, Mineola, NY 11501 Phone: 516-663-8963 Fax: 516-663-8964 | |
Dr. Marlene Martins Lobato, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 Mineola Blvd, Suite 403, Mineola, NY 11501 Phone: 516-741-8891 Fax: 516-741-8829 | |
Michael Garrison, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Suite 450, Mineola, NY 11501 Phone: 516-663-9500 Fax: 516-663-4613 | |
Dr. Anupama Ananda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 Willis Ave, Suite 210, Mineola, NY 11501 Phone: 516-739-7290 Fax: 516-793-7291 | |
Mr. Jeffrey Liu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 297 Mineola Blvd, Mineola, NY 11501 Phone: 516-294-1377 Fax: 516-294-5574 | |
Dr. Jonathan Shulman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2381 | |
John I Hogan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 432, Mineola, NY 11501 Phone: 516-663-2507 |